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The prevalence of cigarette smoking among young men who have sex with men YMSM is significantly higher than among their heterosexual peers. We undertook an analysis to examine cigarette smoking in relation to demographic factors and other risk behaviors among YMSM, ages 13—29, in New York City. Cross-sectional data were collected as part of larger study of risk behaviors using palm devices and targeted active recruitment strategies across all five boroughs of the city. In addition, smoking was related to the likelihood of using a variety of illicit substances, as well as alcohol and pharmaceuticals without a prescription, during the period of assessment. YMSM who smoke cigarettes reported a greater number of casual sex partners and a greater number of transactional sex partners than non-smokers. There are limited data on the patterns of cigarette smoking among gay, bisexual, and other young men who have sex with men YMSM. Previous research has linked cigarette smoking to elevated levels of stress.